CARD A

RELATIONSHIP TO REFERENCE PERSON 

1 – Opposite-sex husband/wife/spouse

2 – Opposite-sex unmarried partner

3 – Same-sex husband/wife/spouse

4 – Same-sex unmarried partner

5 – Child

6 – Grandchild

7 – Parent

8 – Sibling

9 – Parent/child-in-law (mother/father, son/daughter-in-law)

10 – Brother/sister-in-law

11 – Aunt/uncle, niece/nephew

12 – Other relative

13 – Foster child

14 – Housemate/roommate

15 – Roomer/boarder

16 – Other non-relative

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CARD B

HISPANIC ORIGIN 

1 – Mexican, Mexican American, Chicano

2 – Puerto Rican

3 – Cuban

4 – Salvadoran

5 – Dominican

6 – Colombian

7 - Other Hispanic, Latino or Spanish origin

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CARD C 

RACE 

1 – White

2 – Black or African American

3 – American Indian or Alaska Native                             

4 – Asian

5 – Native Hawaiian or Other Pacific Islander

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CARD D

ATTAINING CITIZENSHIP 

1 – Naturalized

2 – Military service (own or spouse’s)

3 – Adoption by U.S. citizen parent(s)

4 – Born in the United States or one of its Island Areas (for example: American Samoa, Guam, Northern Marianas, Puerto Rico, U.S. Virgin Islands)

5 – Born outside the U.S. to parents who were U.S. citizens

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CARD E

IMMIGRATION STATUS AT TIME OF ENTRY 

1 – Immediate relative or family-sponsored permanent resident

2 – Employment-based permanent resident

3 – Other permanent resident

4 – Granted refugee status or granted asylum

5 – Non-immigrant (for example: diplomatic, student, business, or tourist visa)

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CARD F

EDUCATIONAL ATTAINMENT 

31 – Less than 1st grade

32 – 1st, 2nd, 3rd, or 4th grade

33 – 5th or 6th grade

34 – 7th or 8th grade

35 – 9th grade

36 – 10th grade

37 – 11th grade

38 – 12th grade, no diploma

39 –  High school graduate (diploma, GED, or equivalent)

40 – Some college credit, but less than 1 year

41 – 1 or more years of college, no degree (regular Junior college, college or university)

42 – Associate’s degree (2-year college)

43 – Bachelor’s degree (for example: BA, AB, BS)

44 – Master’s degree (for example: MA, MS, MBA, MSW)

45 – Professional School degree [for example: MD (doctor), DDS (dentist), JD (lawyer)]

46 – Doctorate degree (for example: Ph.D., Ed.D.)

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CARD G

REASONS JOB/BUSINESS ENDED

REASONS JOB ENDED

Involuntary work-related reasons

1 – Plant or company closed down or moved

2 – Slack work or business conditions, such as due to coronavirus pandemic business closures

3 – Position or shift abolished

4 – Temporary or seasonal job completed

5 – Discharged or fired

6 – Other involuntary reason

Voluntary work-related reasons

7 – Quit to take another job

8 – Unsatisfactory work arrangements

9 – Quit for some other reason

Personal reasons

10 – Retirement

11 – Taking care of children, such as due to coronavirus pandemic school closures

12 – Other family or personal obligations

13 – Own health concerns or own illness

14 – Own injury

15 – School or training

16 – Other personal reason

REASONS BUSINESS ENDED

1 – Retirement

2 – Taking care of children, such as due to coronavirus pandemic school closures

3 – Other family or personal obligations

4 – Own health concerns or own illness

5 – Own injury

6 – School or training

7 – Went bankrupt or business failed

8 – Sold business or transferred ownership

9 – To start other business or take a job

10 – Season ended for a seasonal business

11 – Quit for some other reason

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CARD H

TYPE OF PAY RATES 

TYPE OF PAY RATE IN THE FIRST MONTH OF JOB/BUSINESS

1 – Annual salary (pay rate for the year)

2 – Actual gross amount earned in the year

3 – Pay per hour

4 – Pay per week

5 – Pay every two weeks

6 – Pay per month

7 – Pay twice a month

8 – Some other way (report monthly average)

TYPE OF PAY RATE AFTER A CHANGE

1  – Paid an annual salary

2  – Paid by the hour

3  – Paid by the week

4  – Paid once every two weeks 

5  – Paid once a month

6  – Paid twice a month

7  – Paid some other way (report monthly average)

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CARD I

REASONS FOR PART-TIME WORK 

1 – Could not find full-time job

2 – Wanted to work part-time

3 – Temporarily unable to work full-time because of injury

4 – Temporarily unable to work full-time because of illness

5 – Unable to work full-time because of chronic health condition or disability

6 – Taking care of children or other persons, such as due to the coronavirus pandemic school closures

7 – Full-time workweek is less than 35 hours

8 – Slack work or business conditions, such as reduced hours due to the coronavirus pandemic

9 – Participated in a job-sharing arrangement

10 – On vacation  

11 – In school

12 – Other

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CARD J

REASONS ABSENT WITHOUT PAY (2+ WEEKS) 

1 – On layoff, such as furloughed due to coronavirus pandemic business closures

2 – Slack work or business conditions

3 – Vacation, scheduled time off, or personal days

4 – Teacher on an 8–, 9–, or 10–month contract

5 – Own health concerns, injury, illness, or medical problems

6 – Taking care of children, such as due to coronavirus pandemic school closures

7 – Other family or personal obligations

8 – Pregnancy, childbirth, maternity leave, or paternity leave

9 – Labor dispute

10 – Weather affected job

11 – Civic, jury, or military duty

12 – Other

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CARD K

REASONS FOR NOT WORKING AT A PAID JOB OR BUSINESS

1 – Temporarily unable to work because of own injury

2 – Temporarily unable to work because of own health concerns or own illness

3 – Unable to work because of chronic health condition or disability

4 – Retired

5 – Pregnancy or childbirth

6 – Taking care of children or other persons, such as due to coronavirus pandemic school closures

7 – Going to school

8 – Unable to find work

9 – On layoff, such as furloughed due to coronavirus pandemic business closures

10 – Not interested in working at a job

11 – Usually worked 15 or more hours per week without pay in a family business or farm

12 – Other

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CARD L

RANGE OF VALUES FOR AMOUNT RECEIVED 

1 – Less than $200

2 – $200-399

3 – $400-599

4 – $600-799

5 – $800 or more

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CARD M

WORK SCHEDULE 

1 – Regular daytime schedule

2 – Regular evening shift

3 – Regular night shift

4 – Rotating shift (one that changes regularly from days to evenings to nights)

5 – Split shift (one that consists of two distinct periods each day)

6 – Irregular schedule (one that changes from day to day)

7 – Other (specify)

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CARD N

ANNUAL PROGRAM INCOME TYPES

Veterans Affairs (VA) Benefits

1 – Service-connected disability compensation

2 – Veterans’ pension

3 – Other VA payments

4 – G.I. Bill benefits

5 – Insurance proceeds

Disability Income

1 – Payments from a sickness, accident, or disability insurance policy

2 – Employer disability payments

3 – Pension from a company or union, including income from profit sharing

4 – Federal Civil Service or other Federal civilian employee pension

5 – State government pension

6 – Local government pension

7 – Military retirement pay

8 – U.S. Government Railroad Retirement

9 – Black Lung benefits

10 – Other disability income

Retirement Income

1 – Pension from a company or union, including income from a profit-sharing plan

2 – Federal Civil Service or other Federal Civilian employee pension

3 – State government pension

4 – Local government pension

5 – Military retirement pay

6 – U.S. Government Railroad Retirement

7 – National Guard or Reserve Forces retirement

8 – Other retirement income

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CARD N – continued 

Survivor Income

1 – Pension from a company or union, including income from a profit-sharing plan

2 – Veterans’ compensation or pension

3 – Federal Civil Service or other Federal civilian employee pension

4 – U.S. Government Railroad Retirement

5 – State government pension

6 – Local government pension

7 – Income from a paid-up life insurance policy or annuity

8 – Military retirement pay

9 – Black Lung benefits

10 – Workers’ Compensation

11 – Payments from an estate or trust

12 – National Guard or Reserve Forces retirement

13 – Other survivor income

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CARD O

TYPES OF ASSETS — PART 1 

1A – U.S. Government savings bonds or U.S. Government securities

2A – Checking account

2B – Savings account

2C – Money market deposit account or money market fund

2D – Certificate of deposit (CD)

3A – Mutual funds

3B – Stocks

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CARD P

TYPES OF ASSETS — PART 2 

3C – Municipal or corporate bonds

5A – Life insurance policies (including employer-provided policies)

4A – Rental property

5B – Other real estate (for example: a vacation home or an undeveloped lot)

5E – Annuities and trusts

5F – Businesses as an investment only

4C – Other financial investments (for example: coins, jewelry, artwork, mortgages paid to him/her, loans owed to him/her, royalties, or cryptocurrency).

2F – Educational or college savings account

5C – Cars, vans, and trucks

5D – Motorcycles, boats, and recreational vehicles (RVs)

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CARD Q

TYPES OF DENTAL PROFESSIONALS 

• Dentists
• Dental or oral surgeons
• Orthodontists
• Dental hygienists
• Dental technicians
• Dental assistants
• Other dental specialists

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CARD R

TYPES OF HEALTH PROFESSIONALS 

• Physicians
• Nurses, nurse practitioners
• Paramedics
• Health aides
• Physician assistants
• Chiropractors
• Midwives, nurse midwives  
• Optometrists, ophthalmologists
• Podiatrists
• Physical therapists
• Speech therapists
• Occupational therapists
• Audiologists
• Psychiatrists, psychologists
• Psychiatric social workers

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CARD T

LABOR FORCE CALENDAR NUMBERED WEEKS FOR LABOR FORCE (2022)

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CARD T — continued

LABOR FORCE CALENDAR NUMBERED WEEKS FOR LABOR FORCE (2022)

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CARD T — continued

LABOR FORCE CALENDAR NUMBERED WEEKS FOR LABOR FORCE (2023)

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CARD U

TRANSPORTATION TO WORK 

Select All That Apply:

1 – Drove own vehicle

2 – Rider in someone else’s vehicle/van pool

3 – Bus

4 – Rail

5 – Other public transportation

6 – Walked

7 – Bicycled

8 – Drove company vehicle

9 – Worked at home

10 – Other

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CARD W

REASONS FOR MOVE 

Family Reasons

1 – Change in marital/relationship status

2 – To move into own apartment or house

3 – Other family-related reason

Job Reasons

4 – New job or job transfer

5 – To look for work or lost job

6 – To be closer to school or work

7 – Other job-related reason

Housing/Neighborhood Reasons

8 – Wanted to own home, not rent

9 – Wanted a better quality apartment or house

10 – Wanted a better neighborhood  

11 – Cheaper housing

12 – Other housing-related or neighborhood-related reason

Other Reasons

13 – Disaster loss (for example: fire, flood, hurricane, etc.)

14 – Eviction/foreclosure

15 – Always lived here (never moved)

16 – Other reason (specify)

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CARD X

REASONS FOR NO EMPLOYER-SPONSORED HEALTH INSURANCE 

1 – Too expensive

2 – Haven’t worked for this employer long enough

3 – Part-time, temporary, or contract employee

4 – Not eligible (for any other reason)

5 – Healthy (haven’t needed health insurance)

6 – Able to get care elsewhere (such as a health clinic)

7 – Already covered under someone else’s plan

8 – Dissatisfied or don’t believe in insurance

9 – Missed enrollment window

10 – Too difficult or confusing to apply (for example: language barriers, no time)

11 – Other

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CARD Y

REASONS FOR NO PRIVATE HEALTH INSURANCE 

1 – Too expensive

4 – Denied or not eligible

5 – Healthy (haven’t needed health insurance)

6 – Able to get care elsewhere (such as a health clinic)

7 – Have another kind of coverage

8 – Dissatisfied or don’t believe in insurance

9 – Missed enrollment window

10 – Too difficult or confusing to apply (for example: language barriers, no time)

11 – Other

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CARD Z

REASONS FOR NO PUBLIC HEALTH INSURANCE 

4 – Denied or not eligible

5 – Healthy (haven’t needed health insurance)

6 – Able to get care elsewhere (such as a health clinic)

8 – Dissatisfied or don’t believe in insurance

9 – In waiting period or missed enrollment window

10 – Too difficult or confusing to apply (for example: language barriers, no time)

11 – Other

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CARD AA

FIVE TYPES OF MEDICARE PLANS 

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CARD BB

TYPE 2 RELATIONSHIP 

1 – Opposite-sex husband/wife/spouse

2 – Opposite-sex unmarried partner

3 – Same-sex husband/wife/spouse

4 – Same-sex unmarried partner

5 – Biological parent/child

6 – Step parent/child

7 – Adoptive parent/child

8 – Grandparent/grandchild

9 – Brother/sister

10 – Parent/child-in-law

11 – Brother/sister-in-law

12 – Aunt/uncle, niece/nephew

13 – Other relative (cousin, etc.)

14 – Foster parent/child

15 – Other non-relative

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CARD CC

SIPP Health Insurance FAQs 

Health Insurance and Health Care Terms

Copayment or Copay:

• Fixed amount paid for a health care service or prescription, usually at the time of service or receipt of the prescription.
• Amounts can vary by the type of service or prescription.

Deductible:

• Fixed amount of money paid for health care services before your health insurance or plan begins to pay.
• For many health insurance policies, you can use some services, like an emergency room visit, without meeting the deductible first.
• Deductible amount is calculated yearly, so you have to meet a new deductible for each year of the policy.

Premium:

• Fixed amount of money paid on a regular basis for health coverage.
• Does not include copays, deductibles, or other expenses such as prescription costs.

Health Insurance Marketplace:

• Marketplace (or Exchange) coverage may be bought directly, as well as purchased through an employer (through the SHOP program).
• State specific websites help individuals, families, and small businesses find insurance coverage by comparing health insurance plans and prices, and to see if they qualify for reduced premiums and out–of–pocket costs.
• Plans purchased through the Marketplace may be partially or completely subsidized.

Subsidy:

• Money paid by the government to cover all or part of marketplace health insurance plan premiums.
• A subsidy may be in the form of a tax credit or reduced premium costs for the plan.
• Some Marketplace plans may be fully subsidized and so have $0 premium costs for the enrollee.

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CARD CC – continued

SIPP Health Insurance FAQs 

Small Business Health Options Program (SHOP) Marketplace:

• SHOP is a program that enables small businesses to purchase Marketplace health coverage for their employees.

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CARD DD

PARENTAL LEAVE 

TYPE OF LEAVE TAKEN FOR PREGNANCY OR BIRTH OF A CHILD

1 – Quit

2 – Let go from the job

3 – Paid maternity or paternity leave

4 – Unpaid maternity or paternity leave

5 – Paid sick leave

6 – Unpaid sick leave

7 – Disability leave

8 – Paid vacation leave

9 – Some other kind of leave

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PRIVACY ACT STATEMENT

"The U.S. Census Bureau is conducting the Survey of Income and Program Participation to gather information about employment, income, and the economic situation of persons and families who live in the United States. We are conducting this survey under the authority of Title 13, United States Code, sections 141 and 182."

Section 9 of this law requires us to keep all information about you and your household strictly confidential. We may use this information only for statistical purposes.

Per the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through screening of the systems that transmit your data.

"Participation in the survey is voluntary, and there are no penalties for failure to answer any questions. However, your cooperation is extremely important to insure the completeness and accuracy of the final results."

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